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Posts Tagged ‘Lifestyle’

Calcium and Vitamin D3 Can Help !!

January 21, 2018 @ 9:43 pm
posted by Dr Ginther

Once again we have been treated to statisticians mushing together multiple disparate previous studies to “prove” that calcium alone, or vitamin D alone, or both together in one of many different combinations will not prevent fractures.  All mushed together in a carefully selected meta-analysis, you can prove anything depending on which studies are included.

More important, asking if adding a specific dose of calcium, or vitamin D, or both, will prevent fractures, misses the entire point.  Most studies did not properly account for the nutrients in each day’s diet in individual test subjects – or in individual control subjects, many of whom also consumed the nutrients being studied.

And how can you ethically ask a patient to limit their diet in a way you believe will put them at risk for fractures?  You have to settle for encouraging patients who are inadvertently short on some nutrients to improve their diet.  But then they do not fracture and you cannot prove that they would have if only you had withheld the information!

We help individuals improve their bone health.  One size does not fit all. We do a Complete Bone Health Evaluation.  Then we adjust nutrition and lifestyle as needed for that individual.  In about half of women and three-quarters of men, this is enough.

Jay Ginther, MD

So, There Is Nothing You Can Do For Me

December 14, 2013 @ 9:12 pm
posted by Dr Ginther

Recently a patient finished her half hour visit by saying, “so there is nothing you can do for me”.  We had discussed Low Bone Mineral Density (BMD) on her DXA; Vertebral Compression Fractures on her VFA; correcting her Diet – Low in Calcium, Vitamin D3 and Protein; Cutting Down her Smoking; back extension Exercises; and possibly Medications that could reverse her Clinical Osteoporosis.  None of these interested her.

She was not interested in what she could do to prevent future fractures.  She wanted me to “delete” her current Fragility Fracture and the problems she was having from it.  She did not believe that she has clinical osteoporosis.  She did not believe she is at risk for future fractures.  She certainly did not believe that she should be expected to take any action to help herself. 

October 20th is World Osteoporosis Day

October 17, 2013 @ 7:57 am
posted by Dr Ginther

World Osteoporosis Day recognizes the ravages of osteoporosis on women internationally.  Worldwide the risk of Hip Fracture is equal to the risk of Breast Cancer, Ovarian Cancer, and Uterine Cancer combined.  For many, death comes much sooner after hip fracture.

Osteoporosis is not limited to richer countries like the US, EU, Japan, etc.  Osteoporosis is even more devastating to poorer families in countries without welfare, where every member of the family must work their entire lives to ensure family survival.  The International Osteoporosis Foundation (IOF) focuses on all women (and men).  World Osteoporosis Day is the day to learn about the IOF 5 point plan for better bone health.